Case no : 6

1
Evolving Materia Medica Portraits Staphysagria
as an example

Dr. Bipin S. Jain

M.D. (Hom.) ASST. PROFESSOR,
DEPARTMENT OF MATERIA MEDICA
P.G.COORDINATOR DR. M. L. DHAWALE MEMORIAL
HOMOEOPATHIC INSTITUTE
2
Case no 6 (6/8/07)

• Presented By
• Dr
  Bipin Jain
• MDMHI

3
Preliminary Data

• Mr.M.K,2 yrs old.
• Muslim male
• Married( since 2yrs 3 months)
• Nonvegeterian
• B.com (3 yrs back)
• Work Call Centre
• ( U.K Based)
• Mira Road.

• APPEARANCE
• Lean,Constant smile on face(? Mask his mental
  stress)
• Soft spoken polite

4
Data

• Chief complaints
• Skin Taenia, since 3 years ( Pubic, Gluteal
  region)
• Primary Infertility Oligospermia (detected since
  8 months)
• Rhinitis Since childhood.
• APD Since childhood

• Physical Generals
• App inc,since 2-3 yrs.
• Hunger aggravation.
• Cr grilled meat2,beef3,chicken2,lemon.Spicy agg.
• Av sweets2
• Addictions smoking2,tobaco chewing.
• Thermals Chilly
• Hobbies Reading book3( 400pgs/day)
• Sleep N
• Dreams Conspiracy, fights, Blood shed, murders.

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HISTORY

• PAST.
• Operated for Hernia(3 years)
• Mumps (6-7 years)
• Tonsillectomy ( 9 years)
• Appendicectomy (14 years)

• FAMILY.
• Fa HTN Sinusitis.
• Mo Bells palsy.
• PGM HTN,DM,Sinusitis.
• PGF Ca prostrate.
• Elder sis Sinusitis, GI disturbance
• Younger sis Sinusitis.

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Parents Family Background

• Family Mahad, Raigad.
• Fa Eldest sibling, joint family
• ( 3 Br 1 sis)
• 1 Bro M.D ( paed),U.S settled.
• 2 Bro Mauritius
• 3 Bro Joint Business with Fa
• Huge Various Business Saw mills, water supplying
  tankers,dredgery.
• Fa well experienced in Business, gave too many
  credits.
• Uncle Relaxed, easy going fun loving

7
Family Background

• Fa Strict about studies, would beat all
  siblings.
• Didnt allow friends as will get spoiled.
• Pt Never back answer, just leave the place go.
  
• Mo Told Fa to allow pt with friends as he is a
  child.
• PGM Pampered3 pt as 1st male child.

• Eld Sis Computer Engineer. Hardworking
  focused. No problem with parents.
• 2 younger Bro
• 1-B.com, 2- pune (11th std).
• 1younger sis Pune (11th std)
• Younger more close to Fa.

8
EDUCATION

• Boarding school with elder sis.
• Till 5th std in Hostel.
• Later younger's came to study took new house.
• Parents Meet 1/wk.
• No restriction.
• Enjoyed with friends then at home.
• Interest Sports, reading.
• Smoking In 7th std.
• 9th Failed 10th Pune.
• Pune joined B.com,failed twice in 2nd year.
• Mumbai IATA, failed.

• Panchgani, Mahableshwar.

9
FRIENDS

• Introvert, mix with few selective friends.
• Met Girl same tuitions.( 8th std)
• IPR More closer than friends.
• Left smoking for her.
• Never attached with friends.
• Often ALONE

10
WORK

• Fa uncle Got separate. Feels Fa Fault.
• Started Trusting Suspicious.
• Worked studied.
• Never liked asking money.
• Sympathetic for Fa.
• Joined Fa, later left, Didn't like his way of
  working.

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MARRIAGE

• G.F( HINDU community) Stayed studied(BHMS) in
  Pune.
• Got married with the help of uncle.
• Registered marriage.
• Later disclosed to In-laws parents on phone.
• In-Laws Accepted after sometime.
• Fa shocked, go your way", blamed friends.
• Younger sis Suffered pt deeds. Stopped talking
  though pt wife tried talking many times.

12
WIFE

• Pt Loves wife3.
• Parents forced to convert names. Reluctant later
  pt convinced. Don't allow to talk to parents.
• Wife Wants Hu to talk with in-laws explain
  parents.
• No talks among Families.

13
CHILD

• Pt Sexual desire decrease due to stresses now N.
• Wants child.
• Pt primary infertility.
• Wife Fastidious, Frustrated, Anxious,
  .Irritated, Depressed. Left work, Decrease sexual
  desire.
• Pt upset, does not express to wife, feels God is
  punishing them

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Changes After Marriage

• Responsible.
• Careful.
• Calm.
• Serious about work.
• More practical.
• Taken loan Bike rented house.

15
Regarding ptView of Wife

• Irresponsible.
• Careless.
• Lazy.
• Loner.
• Introvert.
• Formal.
• Decrease motivation.
• Reading books3

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TOTALITY

• Introvert.
• Irresponsible.
• Careless.
• Calm.
• Timid.
• Lazy.
• Suspicious.
• Low motivation.
• ? Guilty ( God punishing)
• Dreams Conspiracy,fights,blood shed, murders

• Thermals Chilly
• Persp Profuse, offensive, armpits.2
• Cr Spicy3,Nonveg3
• Av Sweets2

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Reportorial Totality

• Introvert
• Heedless,Careless
• Mildness
• Timidity
• Suspiciousness
• Dreams Conspiracy,fights,bloodshed,murders.
• CrSpicy,meat,chicken
• AvSweets
• Persp Profuse, offensive.

• Thermals Chilly
• Lyco 23/11
• Plus 23/11
• Phos22/11
• Sulp 22/11
• Nat mur 18/10
• Staph 15/10

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(No Transcript)
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Pt- History Form

• Was always antagonistic with dad had frequent
  disputes with him- Irritable, Anger lt
  contradiction.
• I would feel bad as parents would never come to
  visit me my sis, who was also in the same
  boarding, due to financial constraints-
  Sensitive.
• Emotionally dont like to depend on anyone. I
  want my freedom space independence dont like
  any imposing on me except my wife- Independent,
  Egoistic

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Pt- History Form

• Hate doing what others say infact do the
  opposite- Egoistic
• Even if I'm drowning in water I will be
  bubbling the water-Confident, Egoistic
• Dont show my emotions to anyone-Reserved
• Very Daring Gusty in school but now mellowed
  down calm quite- Aggressive
• Im opposite to my wife, she is my emotional
  backup-Emotional, Sensitive

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UNDERSTANDING

• Pt Childhood in Hostel. From childhood was
  aggressive. Felt bad when parents didnt come to
  meet him in school.
• IPR Not good with Fa though IPR of other
  children with Fa is good. Was always antagonistic
  to Father
• More of introvert, loyal to his love, married to
  her.
• So much hurt by aunt behaviour, developed
  suspiciousness. Hurt by friends relations in
  past. Developed suspiciousness.

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Understanding

• Does not like to takes orders of others.
• Somewhere feels guilty for hurting parents
  therefore feels God is punished him for
  infertility.
• Behaviour is changed after marriage is emotional
  dependent on wife. But at the same time wants
  his space.
• Behaviour is mild but dreams are aggressive.
• Conclusion Patient is aggressive, egoistic,
  sensitive, wants emotional support, is guilty
  about his marriage decision against parents. Has
  changed for his love.